Remission and Relapse in Alcohol and Substance Addiction

Abstract

ÖzetAlkol ve madde bağımlılığı kronik bir hastalık olup alkol madde bağımlılığı geliştikten sonra yaşam boyunca devam etmektedir. Bu yüzden doğal gidişi remisyon ve depreşmeler belirler. Alkol madde bağımlılarında zaman zaman remisyon dönemleri arkasından depreşme dönemleri ortaya çıkabil-mekte ve bu depreşme dönemleri de kişileri alkol maddenin tüm olumsuz etkileri ile karşı karşıya bırakabilmektedir. Depreşme riskini belirleyen günümüze kadar pek çok faktörden söz edilmiştir. Bu faktörler bireysel, durumsal olabildiği gibi fizyolojik temelleri de olan faktörlerdir. Bunların birbirleri ile karşılıklı etkileşimi depreşme açısından oldukça önemlidir. Depreşme bağımlılık gelişmiş kişilerin tekrar alkol madde kullanmaya başlamalarını önlemek için üzerinde oldukça fazla çalışılmış bir alandır. Bağımlı hastaların remisyon dönemlerinde yaşadıkları zorlukların veya tekrarlayan depreş-me süreçlerinin ayrıntılı olarak tanımlanabilmesi alkol madde bağımlılığında tedavi stratejilerinin belirlenmesi ve sonraki depreşme süreçlerinin önlenmesi konusunda bağımlılık alanında çalışan klinisyenlere yol gösterici olacaktır.Anahtar sözcükler: Alkol ve madde bağımlılığı, remisyon, depreşme. AbstractAlcohol and substance addiction is a chronic disease and continues throughout individual's life once after addiction develops. Therefore its natural course is characterized by remissions and relapses. In addiction, relapse periods can be followed by remission periods and individuals encounter with negative effects of alcohol and substances in these relapse periods. Many factors have been defined to determine the risk of relapse up to the date. These factors can be situational or personal and they also have physiological bases. Interaction of these factors with each other is critical in terms of relapse. Relapse is a quite well studied area in the literature, in order to prevent the individuals from restarting alcohol and substance use again. Defining the challenges of addicted patients in remission periods and recurrent periods of relapse in detail will guide clinicians to determine treatment strategies in addiction and to prevent subsequent relapse periods.

The effect of combined cognitive‐behavioral psychoeducation and music intervention on stress, self‐efficacy, and relapse rates in patients with alcohol and substance use disorders: A randomized controlled trial

“…47 A study of patients treated for alcoholism found that their relapse rates were 35% after 2 weeks of detoxification and 58% after 3 months. 6 Schellekens et al 7 found a relapse rate of 53% after 12 months in their study carried out with people with alcohol use disorders who received inpatient treatment. 7 The results of the present study showed that, by the fourth month after the intervention, 23.3% of the patients in the experimental group and 31.2% of the participants in the control group had relapsed, but this difference was not statistically significant.…”

“…Brandon et al 47 found that more than 85% of patients with alcohol and substance use disorder relapse one year after detoxification 47 . A study of patients treated for alcoholism found that their relapse rates were 35% after 2 weeks of detoxification and 58% after 3 months 6 . Schellekens et al 7 found a relapse rate of 53% after 12 months in their study carried out with people with alcohol use disorders who received inpatient treatment 7 …”

“…Remission and relapse determine the course of illness in alcohol and substance use disorders. Relapse means that, after a drug‐free period, an individual begins to use substances again, returning to their previous substance abuse behaviors 6 . In this study, relapse is defined as losing self‐control and starting to use alcohol and substances again in the same quantities as before.…”

Investigation of depressive symptoms and related variables with depressive symptoms in alcohol and substance abusers

“…It has been observed that more than half of the alcohol/drug addicts relapse after detoxification, and these relapses are frequently caused by disorders such as depression and anxiety, which are triggered by negative emotional states (48,49). However, the comorbidity of psychiatric disorders in alcohol/substance use disorders, make harder to diagnose this patients, lead deteriorations in disease prognosis and treatment, thus increase the treatment failure rate (50).…”

Measuring the Awareness Levels of Alcohol and Substance Addicted Individuals and Tertiary Prevention Standards: Development of Uskudar Result Awareness and Harm Perception Scales

“…On the other hand, it has been reported that 50-60% or more of patients with alcohol and substance use disorders started drinking again within a few months after detoxification due to negative emotional states, interpersonal conflicts, and social pressure [22][23][24][25][26][27][28][29]. Thus, while determining awareness and rehabilitation standards, it is important to structure these standards to protect the addict as much as possible from relapse.…”